Reimbursement policy update: Multiple Surgery - Facility
- Modifier 50 must be appended to facility claims when a bilateral procedure is performed.
- When a surgical procedure code description contains the terminology bilateral or unilateral or bilateral or the code is considered inherently bilateral, modifiers LT, RT, or 50 should not be appended.
In addition, the policy title will be renamed to Multiple Surgery - Facility.
For specific policy details, visit the reimbursement policy page at anthem.com provider website.
December 2022 Anthem Provider News - Ohio